Duchenne muscular dystrophy Nervous System Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Genetic diagnosis of DMD and confirmed pathologic variant in the dystrophin gene amenable to exon 45 skipping as reviewed by a central genetic counselor 2. Assigned male at birth with clinical signs compatible with Duchenne muscular dystrophy as determined by the investigator 3. Part A: 4-20 years of age, inclusive 4. Ambulatory Status Part A: ambulatory with a Performance of the Upper Limb v2.0 (PUL 2.0) Entry as per protocol at Screening 5. Adequate muscle for obtaining tissue biopsy as assessed by the investigator 6. Other protocol-defined criteria apply
Exclusion criteria
Exclusion criteria: 1. Any significant concomitant medical condition that might interfere with the ability to comply with protocol requirements. 2. Has an acute illness within 4 weeks prior to the first dose of study drug which may interfere with study measurements or jeopardize the participant’s safety 3. Use of the following medications: 3.1. Prior treatment with any exon skipping therapy at any time 3.2. Prior or current treatment with any gene therapy at any time 3.3. Use of anti-coagulants, anti-thrombotics, or anti-platelet agents 3.4. Use of an immunosuppressant for a non-DMD condition from 30 days prior to screening until the end of the study 3.5. Has taken or is currently taking a histone deacetylase (HDAC) inhibitor, including (but not limited to) givinostat from at least 30 days prior to the start of the screening period until the end of the study 4. Laboratory abnormalities 5. Daytime ventilator dependence or any use of invasive mechanical ventilation via tracheostomy 6. Has an abnormal electrocardiogram (ECG) reading assessed as clinically significant by the investigator, and/or a QT interval with Fridericia correction method (QTcF) >450 msec at Screening or prior to the first dose of study drug on Day 1 7. Received any experimental or investigational drug, etc within 3 months prior to first dose or within 5 half-lives (whichever is longer) 8. Other protocol-defined criteria apply
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Overall safety and tolerability of ENTR-601-45, measured using: 1.1. Incidence and severity of treatment-emergent adverse events (TEAEs) 1.2. Changes in vital sign measurements 1.3. Clinical laboratory results 1.4. Electrocardiogram (ECG) parameters 1.5. Physical examination findings From baseline through the End of Study visit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Plasma, muscle, and urine concentration of ENTR-601-45 and its final metabolite at prespecified timepoints during the study 2. Change from baseline in dystrophin by Western blot from muscle biopsy at the End of Study 3. Change from baseline in dystrophin expression and localization from muscle biopsy at the End of Study 4. Percent change from baseline in exon 45 skipping measured in muscle biopsy at the End of Study 5. Anti-drug antibody (ADA) and anti-dystrophin antibody in serum at prespecified timepoints during the study | — |
Countries
Belgium, England, Italy, Netherlands, Spain, United Kingdom